ATI RN
ATI Maternal Newborn Exam 3 Fall 2023 Questions
Extract:
A client has ataxia.
Question 1 of 5
The nurse notes that a client has ataxia. Which of the following tests should the nurse use to gain more information about this client’s gait?
Correct Answer: B
Rationale: The correct answer is B: Romberg test. Ataxia is a condition affecting coordination and balance. The Romberg test assesses the client's ability to maintain balance with eyes closed, which helps identify proprioceptive deficits contributing to gait abnormalities. Plantar flexion (
A), Achilles reflex (
C), and Patellar reflex (
D) are not directly related to assessing gait or balance. The Romberg test specifically targets the client's ability to maintain balance, making it the most appropriate choice in this scenario.
Extract:
A client who has experienced a hemorrhagic stroke.
Question 2 of 5
A nurse is caring for a client who has experienced a hemorrhagic stroke. Which intervention should the nurse prioritize when providing care to the client?
Correct Answer: A
Rationale: The correct answer is A: Monitoring vital signs and neurological status frequently. This is the priority intervention because in a hemorrhagic stroke, there is bleeding in the brain leading to increased intracranial pressure. Monitoring vital signs and neurological status helps in detecting any changes promptly and initiating appropriate interventions. Maintaining strict bed rest (
B) is not recommended as it may lead to complications like deep vein thrombosis. Administering anticoagulant medications (
C) is contraindicated in hemorrhagic strokes as it can worsen bleeding. Assisting with range of motion exercises (
D) is important but not the priority in the acute phase of hemorrhagic stroke.
Extract:
Question 3 of 5
The community health nurse is making a list of needed supplies in the event of a bioterrorism attack. The nurse recognizes that community members exposed to anthrax will need access to which of the following medications?
Correct Answer: B
Rationale: The correct answer is B: Ciprofloxacin (Cipro). In the event of a bioterrorism attack involving anthrax exposure, Ciprofloxacin is the recommended medication for prophylaxis and treatment. Ciprofloxacin is an antibiotic effective against anthrax bacteria. It works by inhibiting bacterial DNA synthesis, preventing the growth and replication of the bacteria. This medication is crucial in preventing the progression of anthrax infection and reducing mortality rates.
Other choices are incorrect because:
A: Fluconazole (Diflucan) is an antifungal medication used to treat fungal infections, not bacterial infections like anthrax.
C: Varenicline (Chantix) is used for smoking cessation, not for treating anthrax.
D: Potassium iodide (KI) is used to protect the thyroid gland from radiation exposure, not for anthrax treatment.
Extract:
A client with new right-sided weakness and slurred speech.
Question 4 of 5
A nurse enters the room of a client and discovers the client with new right-sided weakness and slurred speech. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct action is to call for help (
Choice
B) because the client is showing signs of a stroke, which requires immediate medical intervention. Calling for help ensures prompt assessment and treatment by healthcare professionals. Performing carotid massage (
Choice
A) could worsen the situation by dislodging a clot. Providing water to test the gag reflex (
Choice
C) is not appropriate as the client is experiencing neurological symptoms. Administering thrombolytics (
Choice
D) should only be done after proper evaluation and confirmation of a stroke by a healthcare provider.
Extract:
A client who reports a severe headache and stiff neck. The nurse's assessment reveals positive Kernig's and Brudzinski's signs.
Question 5 of 5
A nurse is assessing a client who reports a severe headache and stiff neck. The nurse's assessment reveals positive Kernig's and Brudzinski's signs. Which of the following actions should the nurse perform first?
Correct Answer: D
Rationale: The correct answer is D: Implement droplet precautions. This is because positive Kernig's and Brudzinski's signs suggest meningitis, which is highly contagious through respiratory droplets. Implementing droplet precautions is crucial to prevent the spread of infection to others and protect healthcare workers. Decreasing bright lights (choice
A) may help alleviate symptoms but is not the priority. Initiating IV access (choice
B) and administering antibiotics (choice
C) are important interventions but should come after implementing precautions to prevent transmission.